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HomeMy WebLinkAboutBuilding Permit #709 - 46 LIBERTY STREET 10/14/2010TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: ?,D � Date Received Date Issued: v `(J IMPORTANT: Applicant must complete all items on this age LOCATION e l ` i� �T rna Print PROPERTY OWNER tr} I r -A C) Print MAP NO. IC6, I PARCEL O1 ZONING DISTRICT: Historic District yes no Machine Shop Villaae ves no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial e ap ir, replacemen Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: :_,L O s 4 ! l V/-101"// 1 D x.�jua res, Pa r4i'c i � ns 4a an We 0' e , Iden 'fication Plem7e or Print Clearly) OWNER: Name: Phone:cM,97 -• 1 G7( Address: 4CD Cr' S ree- Aviv r .b ! 14: LU COO SLec-.5ezirs 5�v CONTRACTOR Name: APhone: S0,153 OLFc�Z. Address:R2% 1'/�wIJson C7-. 06Z7-7 1 Supervisor's Construction License: !3 7 !9 ) 9 Exp. Date: 02-31- C70 !D Home Improvement License: 14 R G 0` EXD. Date: 00 l ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ gS 6 FEE: $. Check No.: I "� - Receipt No.:�t � NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund �Ignature of AgentJOwn � _. -_ . Signature of contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED Reviewed on Signature Reviewed on Siqnature Zoning Board of Appeals: Variance, Petition No: Planning Board Decision: Conservation Decision: Comments Comments Zoning Decision/receipt submitted yes Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Locatea 3%4 uS ooa,5treet. FIRE DEPARTMENT -Temp Dumpsteron site yes no Located at 924 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine rw i is ana UA I A — wor department use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application \0-"*'orkers Comp Affidavit VPY /"Photo Co Of H.I.C. And/Or C.S.L. Licenses copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doe: Doc.Building Permit Revised 2008 Location _�l/ ` � /,)-?--7 Sl No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ a,^°'E<� Building/Frame Permit Fee $ AGMU`� Foundation Permit Fee $ i Other Permit Fee $ TOTAL $ Check # IS�� 23sb� Building Inspector m m X m x CO) y v m l►� 0 0 I z rT, cn cn n O cn 1+� Q O o y = coo 10 y ?� NJ C=L a o m y co W0 O m y o -i O IE O a '> > ti 0 tG + p o Z , EL ao o . >C n� o r � co 0 CCD om a� � 0 O CL 00 y O1 0 m X�. y h y * 0 CT a C= CD o oo�. .. =r �. 00 �► N o ! �-=!4 m H c =r: 1 00 dm: -o CL -0 C7 es CA C o c o o cn C a "C w GwC O tiC/) cp Irl O aO O ►rj omi 0 9 4 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organimtion/Individual): Address: City/State/Zip: Sears Home Improvement Products Incorporated 1024 Florida Central Parkway Longwood, FL. 32750 Phone #: 860-753-0452 Are you an employer? Check the appropriate bog: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. t ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. We are a corporation and its required.] officers have exercised their ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, §1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions 11. ❑Plumbing repairs or additions 12. ❑ Roof rcpai 13.0 Other TGIt'1'IGtt St I �ot *Any applicant that checks box #1 must also fill out the section below showing theirworkers' compensation policy information.f)fs . t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Ace American Insurance Company / Phone: 866-283-7122 Policy # or Self -ins. Lic. #: WLRC45701207 Expiration Date: 08/01/2010 ��(( //�� ? Vr h Job Site Address: �i G h.�/ e r ���e e City/State/Zip. /W l g4 5 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerdj54hdyfthe pains and py aloes ofperjury that the information providedAbove is true and correct. (Sears Auth. Agent} Cell:860-753-0452 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: CERTIFICATE OF LIABILITY INSURANCE DATE 07/17 2009 07/17/2009 PRODUCER Aon Risk Services Central, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Chicago IL Office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 200 East Randolph CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Chicago IL 60601 USA COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# PHONE- 866 283-7122 FAX 847 953-5390 INSURED INSURER A: ACE American Insurance Company 22667 Sears Holdings Corporation dba Sears Home Improvement Products, Inc INSURER B: Indemnity Insurance Co of North America 43575 INSURER C: Attn: Risk Management E3 -219A 3333 Beverly Road INSURER Hoffman Estates IL 60179 USA INSURER E: POLICY EFFECTIVE f O COVERAGES SIR applies per terms and conditions of the policy THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED INSR ADD' LTR INSRD TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS ATE(MM/DD DATE(MM/DD/YYYY) A GENERAL LIABILITY HDOG24933398 08/01/2009 08/01/2010 EACH OCCURRENCE $5,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $5,000,000 CLAIMS MADE OCCUR PREMISES (Ea occurrence) O MED EXP (Any one person) EXC U e PERSONAL &ADV INJURY $5,000,000 ❑ n 7 GENERAL AGGREGATE $5,000,000 GENL AGGREGATE LIMIT APPLIES PER: ❑X POLICY ❑ PRO- ❑ LOC JECT rrr O O PRODUCTS - COMP/OP AGG $5,000,000 A A AUTOMOBILE LIABILITY ANY AUTO ISAH0857957A ISAH08579568 08/01/2009 08/01/2009 08/01/2010 08/01/2010 COMBINED SINGLE LIMIT (Ea accident) $5,000,000 C Z m BODILY INJURY ( Per person)HIRED ALL OWNED AUTOS SCHEDULED AUTOS rCj X AUTOS L � L.+ BODILY INJURY X NON OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN EA ACC AUTO ONLY AGO EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE ❑ OCCUR ❑ CLAIMS MADE AGGREGATE eDEDUCTIBLE RETENTION A A E- MPOYERS' LIABHITY WORKERS COMPENSATION AND MPLOY WLRC CA SCFC45701220 0 08/01/2009 08/01/2010 X WC STATU- OTH TORY LIMITS ER E.L. EACH ACCIDENT 51, 000, 000 B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) WI WLRc45701207 08/01/2009 08/01/2010 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 Ifves, describe under SPECIAL PROVISIONS below All other states OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Sears Home Improvement Products, Inc 1024 Florida Central Parkway SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Longwood FL 32750 USA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY IC.���� OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved— The ACORD name and logo are registered marks of ACORD .,f .j }�' r�� Board of Building Regulations and Standard s One Ashburton Place.- Room 1301 Boston, Massachusetts 02108 Construction Supervisor License LUBOS SVEC 827 THOMPSON ROAD THOMPSON, CT 06277 Iy D �` DRIVER LiCi: 086395997 ca" D Roar B S- Y iig W Em HAZ MwW 66.24.21873 SVEC WIXIS 09/30/2009 10:49 4077678536 License CS: 97519 Restriction: 00 Birthdate: 8/31/1963 Expiration: 8/3112010 Tr# 97519 Update Address and return card. dark reason for change. Address Renewal Lost Card Board of Building Regulations and:Slandards Construction Supervisor License License: CS 97,519 Birthdate: 8/31/1963 Expiration: 8/31/2010 Tr# 97519 Restriction: 00 LUBOS SVEC 827 THOMPSON ROAD THOMPSON, CT 06277 SHIP PERMITS&LICENSE C 0/7-&/ c1 ons er urn errs an usin, at",. 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 H=6 Improvement C©zitractor Registration Commissioner PAGE 01/01 Rer,,listration: 148607 - Type: Public Corporation Expiration: 10111/2011 Tr# 288268 SEARS HOME IMPROVEMENT P1k0b CT,', ALFRED NYMAN JR. - 1024 FLORIDA CENTRAL PKWY.*-,-,:• ; -, -- �� LONGWO©D, FL 32754 - - - Update Address and return card. Mark reason for change. Lj Address Renewal [] Employment Lost Card %CAI A 50M•00. -G1a1216 W. &M....800 . . Oitiee of Cawvmer Affairs & noses Regulntlon HOME IMPROVEMENT CONTRACTOR Rs8istrati0ri R %148807 Eup'sratian.�,=112011 Tr# 288268 Ty per `P 6bll�crparption SEARS HOME OPROVEREt47'P.RODUCTS INC. ALFRED NYhLlltt dii:. 1024 FLORIDA CENTRA:t :PKVIIY— LONGWOOD. FL 3i}?50 _ i' Underaeerehry License or registration valid for individal use only before the expiration date. Iffound return to: Qiif'r¢e of Consumer Affairs and Business Regulation 10 Park vim - Suite 5170 Bbstoa, MA 02116 Not valid without signature `-' loess u atlonO �ice onmu�raVan us 10 Park Plaza - Suite 5170 Boston, Massachusetts 021.16 Home Improvement Contractor Registration Registration: 148607 Tvpe: Supplement Card Expiration: 10111/2011 SEARS HOME IMPROVEMENT PRODUCT LUBOS SVEC 1024 FLORIDA CENTRAL PKWY LONGWOOD, FL 32750 -- - oPS.CAt 0 50M -04V -G101216 Office of Consumer Affairs & B mess Regulation HOME IMPROVEMENT CONTRACTOR Registration: 148607 Expiration: 10/11/2011 Type: Supplement Card SEARS HOME IMPROVEMENT PRODUCTS INC. LUBOS SVEC 1024 FLORIDA CENTRAL PKWY LONGWOOD, FL 32750 Undersecretary Update Address and return card. Mark reason for change. Address t i Renewal D Employment E Lost Card License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, MA 02116 Not va ld without signature • �� 1111111111111111 e 1 n e 11 MOI Ion I III o1 J a 6 1 U Proposal Date4—to-26/01Job # S"rs Sears Home Improvement Products, Inc. C stonier Name P.Q. Box 522290 Home Improvement Products 1024 Florida Central Parkway Longwood, FL 32752-2290 Customers Home Phone Customer's Work Phone Phone (800)469-4663 Street Addressn ESTIMATE AND PROPOSAL Contractor License/Registration Number CT (HIC.0607669); DC (50006423); 6 T JT• Siding City State Zip Code MD (46542, 87854); RI (27281); Is installation within city limits? Yes ❑ No N V M Q WV (WV025882) Installation Address County Billing Address (if different from above) City I State Zip Codde Project Consultant Name & License No. (if applicable) L s I NoPT A WA OHO M!J A,m-Nx OQg Description of the Project and Description of the Signiticard Materials to be Used and Equipment to be installed The work to be done under this contract includes the following (where checked). Not Included Included Specifications Preparation: 1. 0 ❑ Obtain all riecessary permits and insurance. 2. Q ❑ Inspect surfaces in work area, re -nail loose wood, and replace rotten surface wood where necessary in work area (excluding roof, decking, rafters and structural members). 3. ❑ Remove existing siding. Type: 4. ❑ Fir out walls on brick, block, metal or stucco areas. Location: 5. Caulk and seal around all windows and doors in the work area as necessary. 6. ® ❑ install approved non -corrosive starter strip. Insulation: 7. Install insulation of flatwall areas that are to be sided with it 3/4" ❑ 1/4" extruded polystyrene insulation. Custom Trim: 8. ❑ R Install custom Vyna-19ad aluminum fascia system. Cola: 9. ❑ 29 Remove existing guttering. After removal, existing guttering will be: ❑ re -attached LJ disposed of 10. ❑ 99 Install new guttering and downspouts. 11. ❑ (( Cover soffit areas of home with vinyl soffit system (except where noted below in "Work NOT to be donel using: ❑ WB Max ❑ WB Plus ❑ Weatherbeater ❑ Value Line ❑ Other: Color: Pattern: 12. ❑ Install custom Vyna-Klad aluminum frieze boards. Size: Location: Color. 13. ❑ LK Jump/twttwindowtrim. Location: Color: 14. ❑ % Custom wrap Windows / sills/ mulls/ headers with Vyna-Klad aluminum. Color: 15. ❑ Remove and re -install existing storm windows / awnings / shutters. 16. ❑ I Install new shutters ❑ Panel ❑ Louver Color: 17. ❑ ® Custom wrap door facings with Vyna-Klad aluminum. Cola: 18. ❑ ( Custom wrap garage door facings single / double with Vyna-load aluminum. Color: 19. ❑ Remove and re -install storm doors. 20.] E]Install deluxe comer posts. Color: Siding: 21. ❑ Install ❑ WB Max KWB Plus ❑ Weatherbeater ❑ Value Line ❑ Other: Solid vinyl siding. TYPE: El Horizontal ❑ Vertical Color: M Porch 22. El$) Porch ceilings: Location: Calor: Systems: 23. ❑ Porch posts: Colo: 24. ❑ Porch beams: Color: Clean up: 25. Clean up and removal of all job-related debris. 26. E ❑ Remove excess materials and re -stock (each job is over -shipped to avoid delays). Additional work to be done: Work NOT to be done: No drip edge covered; no paint applied. SPECIAL INSTRUCTIONS: Cafmm,-_Y &amts 'o cz ll eDc e fliio- Rq3ec.J: pLn0Lse (fa' 11AY� �V&y &,4('k CiA Y. All of the above check boxes and the "Work NOT to be done' section have been reviewed and explained to me. Customer(s) initials APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE: The work will start approximately I r.w0 A4 (A proximate Start Date) and will be substantially completed by approximately _ (Approximate Completion Date). These dates are subject to change at the time the contract is accepted by Sears Home ovement Products, Inc. ("Sears") or at any other time by mutual written agreement. Customer un- derstands that the Approximate Start Date is only an estimated date and the Customer will be contacted prior to this date to schedule the actual start date. The TOTAL PRICE including all labor, material, taxes and any applicable discount is Contract Price $ Initial Payment (not to exceed 30% of Total Price unless Special Order) $ State Sales Tax (_%) $ Final Payment (balance payable upon completion of job) $ Local Sales Tax (°i°) $ Total Amount Due 16 The form and method by which the Customer(s) will pay is described in a separate Cash/Credit Card Payment Addendum made a part of and incorporated into this contract by reference. ,�,/� Gustomer(s) initials%a Citi NOTICE TO BUYER: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY (FIFTH BUSINESS DAY IN ALASKA, FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER) AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Additional provisions of this contract are stated on the pages following. Customer(s) initialise 38t-09 Ne WOR )' 34%20!2x16 l2: r!:% 97652110001 LlPublrll S ;1_w1;jES PAGE 01/01 �/� ' . SW_lsSG[ 1+ jv : r,(�N M UrIR M �'� - 1 v u : Proposal and Aoor vat. Sears offers to furnish V e a;ateriats and arranpb`tcr their d0 erg and installation as specified on the first page andlor the attached sketches and Specification sneers to -the TOTAL PRICE -shown, Thia offer must be approved by the installation Department. if this c .-- n.-.�mt^�. if Thi': ��.�I �.. ��?pn.:..,t� rr thO rn- !;�.. �P,,i;jvej by the Cr:. ;. - p.. st0at!nn cannotbe mu -,e in accordance with the :ae), this offer tmill be wRhdravin and ;,i.v payrnents you have mad: will be refunded to you. Any mJlorihi3 !rft o,/; -f ,fl°r the irl fillatlorr has been vvipleted arse Sears property aed v,;ili to rl-,woved by Sears. JnstaRal0fi. 1 understand that Sears will not Install the materials but wilt arrange 4o, fhe installation. Sears Is not responsible for materials or in ; .il!ation NOT f urnislheu or arranged by Sears. Sears agreec to procure all permits required ny local law. Aotri-tl4n. 1 authorize Sears to: (1) arrange for a '=tractor (itcensed where required by law) to make the installation of materials; (2) issue a work order for this in_taliation to a contractor; (3) inspect the installation; and (4) pay the contractor when the installation is Complete if I have signed a cartificate. t^at the installation has been completed to my satisfaction. 991a1in r s I[latlog. I agree that Sears is not responsible for delays in delivery or in tallatian due to weather, fire, strikes, war, government regulations or any causes beyond Sears- controi. 9d1j LaUjaIRU "I h e , is C0fttM01• I anderstand tat there are no oral agreements h,regen Sears and me. Everything I exaect Sears to du has been inc:eded in writing in this contraft rJ.;thing cavi be changed In this contract unless it is in writino on a Separate form accepted by me and Sears. fTesD2 lhLfhr 4f Bre,, E agree that any information e, measurements that I give to Sears are correct and complete -1 am responsi)le for any spacial work desaril�ed iii .his contract, > cl l qj Qi8D1)2111g Se Vi4E. ;'h1!1 a.cvide Firlli)utp.. Ap.ctiical andior plurrlbin4 z-vice(S) to t,in any newly, instailed appliances or other fiu- nisit*.vgS. If the elestrirM andr'or plumbing serviL[;5) dv not meet the Standards of thr, iii,iith' r imp -any or eiectrieai andior plumbing c Ades, I will make fhb necessary chances at my expense unless Sears has agreed in this contract to make the changes. mrjO;jtl. I will vtl: . +'S !ht raSh p;ice that rorerS tiro ,xtc+ of marerla! anti i!Ir.,t<'ii.9?gat ;:9 sbUPtn o0 the iirrt paps. WArrid—ft Informalio.g. Aopropriate product warren"✓ dol,umentS will be given to �Ie by Sears. Sears' Warranty on Instailalfon SEARS' LIMITED WARRANTY ON !NSTACLATION In addition io any manufacturer warranty extended to you on the product(s) used (vvh!cn warranty becomes effective the date the merchandise is installed), it the workmanship (or application) of any Sea arranged installation proves faui:y Mihir (i) one year for Weatherbeater or other brand, 15) " o yeaa for 1Neaf!x!i;caw. Plus, or (it!) three yca , fu-w,ttterbeatar Max, than upon nolice from you Sears wilt cause such faults to be cor- rect.:;; by r2pail atm: additenat cost ie vc,r if Sears ,star, lies that repair is nY practicabte orcanrot be timely made, then, at Sears' :!, i.raeflUil, .�e : ,Heli , i;::[ lU u!JViUe tiiii!cCZi;?4nr Gi rciu:id. Service anger j-; L,utuc:u Ivvatn inty !s avauauie by calling Seam 110me im- Itr:;'iririiCnl 1'T(11I:;,.:..L :-J4U•a:11-UbJtf, lil!inpr-�.: L'.cell:, :: yJI�M_S `yUp SI!eb�! - -, �. �!�J ,Bi:y :nit) 4i:1G biting Ilyiil5 tt:dl 6nry attb State to Stale. NOTICE TO BUYER 1. 00 NOT SIGN THE AGREEMENT IF ANY Ol' THE SPACES INTENDED FGR THE AGREED TERMSJO THE EXTENT OF THE AVAILABLE IN- FORMATION ARE LEFT BLANK_ 12. YOU ARE ENTITLED TO A COPY OF THIS AGREEMENT AT THE TiME YOU SIGNIM KEEP ITTO PROTECT YOUR LEGAL RIGHTS. 3. YOU MAY PAY OFF THE rULL UNPAID BALANCE DUE UNDER THE AGREEMENT AT ANY T UAE. AND IN SO DOING YOU SHALL BE EN- TITLED TO A FULL REBATE Of THE UNEARNED FINANCE AND INSURANCE CHARGES, ! 4. YOU MAY CANCEL THIS TRANSACTION AT ANY TiME: PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY (FIFTH BUSINESS DAY 1N ALASKA, FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR DLDERI AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF IRIS RIGHT, FAILURE TO EXERCISE THIS OPTION, HOW- EVER, WiLL NOT INTERFERE WITH ANY OTHER REMEDIES AGAINST THE RETAIL SELLER YOU MAY POSSESS. IF YOU WISH, YOU WAY USE THIS PAGE AS NOTIFICATION BY WRITING 1 HEREBY RESCIND" AND ADDING YOUR NAME AND ADDRESS. A DUPLICATE OF THIS RECEIPT IS PROVIDED BY THE SELLER FOR YOUR RECORDS. 5. IT SHALL NOT BE LEGAL FOR THE SELLER TO ENTER YOUR PREMISES UNLAWFULLY OR COMMIT ANY BREACH OF THE PEACE TO RE- POSSESS GOODS PURCHASED UNDER THIS AGREEMLUT. i N.QI10E10_MARYLAND RESIDENTS ONLY I Notice: All home Improlnal!:nt contractors and s.bcoMrdcto s must be licensed by the Mary!and Horne improvement Commission. Inquiries regard- ing. a > onWctor or sabcor,"actor should he directed tri the Horre Improvement Commission, telephone: 410-230009 or (in-state)1-888.218.5425. Ly T1 t1QN�4lf HAMIPSHIRE CIJ$Ia?A1Eg$ NEW HAMPSHIRE LAN. RSA 359-3, CONTAINS RAPORTANT REQUIREMENTS YOU MUST FOLLOW BEFORE YOU MAY RLE A LANSIAT OR j OTHER ACTION FOR UEtECTiVE CONSTRUCTION AGAINST THE CONTRACTOR WHO CONSTRUCTED, REMODELED. OR REPAIRED YOUR HOME, SIXTY DAYf GErORE YOU FILE A L AWSLI T OR OTHER ACTION, YOU MUST SERVE ON THE CONTRACTOR A WRITTEN NOTICE OF ANY CONSTRUCT ION COKDIT!OJNS YOU ALLEGE ARE CErFCTIVE. UNDER THE LAW. A CONTRACTOR HAS THE OPPORTUNITY TO REPA R AND/OR PAY FOR THE DEFECTS. TdFRE ARE STRICT DEADLINES AND PROCEDURES Ut< ;FR STATE LAW. AND FAILURE TU FOLLOW THEW! MAY AF- FECT YOUR ABILITY f0 FILE A LAWSUIT OR OT8ER AC710N. custamei's signalure Date Customers signature _ pate Ac cd Dy Soar.. Hrrnc imp.o•ts:ut:n*;1roihrbrs. Inc (" Sent„-! unliy, Date Axaragems. Rep ntative Y::.Cw Fr, 01,LP